Subjects -> HEALTH AND SAFETY (Total: 1540 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (724 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (387 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (108 journals)
    - PHYSICAL FITNESS AND HYGIENE (130 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (724 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 27)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 8)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 44)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 7)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 18)
American Journal of Health Education     Hybrid Journal   (Followers: 35)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 10)
American Journal of Health Studies     Full-text available via subscription   (Followers: 13)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 29)
American Journal of Public Health     Full-text available via subscription   (Followers: 268)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 7)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 12)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 14)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 4)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 9)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 11)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 5)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 12)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
Biosafety and Health     Open Access   (Followers: 2)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 50)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 22)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 12)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 10)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 24)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 24)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 1)
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 4)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 5)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 5)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 5)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 15)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 24)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 8)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 20)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 3)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 9)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 17)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access  
Frontiers in Public Health     Open Access   (Followers: 8)
Frontiers of Health Services Management     Partially Free   (Followers: 4)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gestão e Desenvolvimento     Open Access   (Followers: 1)
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Annual Review     Open Access   (Followers: 2)
Global Health Journal     Open Access   (Followers: 1)
Global Health Promotion     Hybrid Journal   (Followers: 17)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 9)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 8)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 13)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 2)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 10)
Health and Social Work     Hybrid Journal   (Followers: 68)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)

        1 2 3 4 | Last

Similar Journals
Journal Cover
Annali dell'Istituto Superiore di Sanità
Journal Prestige (SJR): 0.386
Citation Impact (citeScore): 1
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0021-2571 - ISSN (Online) 2384-8553
Published by Istituto Superiore di Sanità Homepage  [1 journal]
  • After the Italian Constitutional Court’s ruling on the absence of
           criminal liability for assisted suicide: the role of ethics committees and
           clinical ethics

    • Authors: Carlo Petrini
      Pages: 311 - 313
      Abstract: The Constitutional Court handed down a judgment on 25 September 2019 following on from that Court’s Order No 207 of 24 October 2018. The issue of constitutionality of Article 580 of the Criminal Code, in the part about the punishment of the aid to suicide, was raised by the Court of Milan. According to the Court “under certain conditions, a person who facilitates the execution of the suicide intention, autonomously and freely formed, of a patient kept alive by life support treatments and affected by a irreversible pathology, source of physical or psychological suffering that he considers intolerable but fully capable of making free and conscious decisions”.According to the Court, a local ethics committee must provide an opinion in all cases involving a request for medically-assisted suicide.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Ethics committees and research in Italy: seeking new regulatory frameworks
           (with a look at the past)

    • Authors: Carlo Petrini, Silvio Brusaferro
      Pages: 314 - 318
      Abstract: The legislation of Italy and the European Union requires a shift in terms of the organisation and national regulation of ethics committees and clinical trials. More generally, this affects the entire sphere of biomedical research. The first part of this article provides a brief review of the history of ethic committees in Italy. We then discuss certain considerations about the current situation and formulate some proposals in terms of the regulatory choices that must be made. There is a vital need for rules that promote efficiency, to guarantee that Italy’s position remains competitive and attractive within the European Union.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Multiple chemical sensitivity: pursuit of a scientific consensus, need for
           a public health response

    • Authors: Sabrina Rossi
      Pages: 319 - 322
      Abstract: On the international scene, the Multiple Chemical Sensitivity (MCS) is defined, by several experts, as a multisystem syndrome that develops following chronic exposures to low doses of common chemical contaminants. Its general characteristics are, however, the object of conflicting opinions and a source of debate and research aimed at the correct nosological and therapeutic framework. In the face of a potentially debilitating trend, both in the work and in the economical and social sphere, the scientific community has not found an agreement. This problem leads some patients and their associations to periodically claim some requests. The syndrome is also taken into consideration at a political level, especially due to the close connection with the problems related to environmental pollution and to any necessary measures in the field of control and prevention. For these reasons we believe it is appropriate for a widespread surveillance network to be set up in Italy, capable of intercepting possible cases, analyzing them at a multidisciplinary level, and following their evolution.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Health and Climate Change: science calls for global action

    • Authors: Walter Ricciardi, Stefania Marcheggiani, Camilla Puccinelli, Mario Carere, Tonino Sofia, Fabiola Giuliano, Eugenia Dogliotti, Laura Mancini, Umberto Agrimi, Enrico Alleva, Luca Busani, Paola De Castro, Simona Gaudi, Paola Michelozzi, Giovanni Rezza, Emanuela Testai, Stefano Vella
      Pages: 323 - 329
      Abstract: Climate changes affect social and environmental health determinants such as clean air, ecosystems health, safe drinking water and safe sufficient food. Globally, people at greatest risk of adverse health effects associated with climate change include children, the elderly and other vulnerable groups. Temperature-related death and illness, extreme events, polluted or stressed ecosystems represent relevant issues raising concern for both health and economic consequences. The aim of the Symposium was to promote an inter-sectoral and multidisciplinary approach to estimate, and to prevent, climate change-related events as well as to call the authorities to put in place measures to reduce adverse health effects.At the end of the Symposium the Rome International Charter on Health and Climate Change was presented. It includes a series of actions and recommendations, discussed and shared by all the participants, intended to inform policy makers and all the stakeholders involved in the management of climate changes.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Effects of short-term aerobic exercise in a mouse model of Niemann-Pick
           type C Disease on synaptic and muscle plasticity

    • Authors: Mattia Palmieri, Ida Cariati, Manuel Scimeca, Gabriele Pallone, Elena Bonanno, Virginia Tancredi, Giovanna D’Arcangelo, Claudio Frank
      Pages: 330 - 337
      Abstract: Background. Physical exercise can reduce the risk of developing chronic diseases and
      slow the onset of neurodegenerative diseases. Since it has not been assessed which kind
      of training protocol might positively modulate both synaptic and muscular plasticity in
      neurodegenerative diseases, we studied in a mouse model of Niemann Pick type C disease,
      a model of minimal Alzheimer’s Disease, the effect of a short term protocol.
      Methods. We evaluated the effect of a short term, aerobic uniform exercise training on
      synaptic and muscle plasticity in three different mice groups: WT controls, NPC1+/-
      and NPC1-/- animals. The results were compared with those obtained in the sedentary
      respective groups. We analyzed the effects on synaptic plasticity by in vitro extracellular
      recordings in hippocampal mouse slices; moreover hippocampal and muscle tissue
      morphological structure have been investigated by transmission electron microscopy, to
      highlight any structural and functional changes due to training.
      Results. The results indicate a rescue of long-term potentiation in homozygous but not
      in heterozygous mice slices and an induction of neuronal plasticity, observed by morphological
      analysis, both in homozygous and in heterozygous trained mice.
      Conclusions. Hence this protocol is adequate to improve long term potenti
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Ketamine abusers referring to Emergency Departments in Northern Italy: a
           cross- sectional study

    • Authors: Raimondo Maria Pavarin, Silvia Marani, Elsa Turino
      Pages: 338 - 344
      Abstract: Introduction. Ketamine is an essential medicine used as an anesthetic in low and
      middle-income countries and in veterinary medicine. Recreational use is widespread
      throughout the world, especially owing to its lower price compared to other substances.
      In Western countries its use has been mainly linked to subpopulations of young people
      who use drugs recreationally. Ketamine misuse is associated with amnesia, dependence,
      dissociation, lower urinary tract dysfunction and poor impulse control. Regular ketamine
      use is associated with abdominal pains.
      Aims. The aims of this study are to analyze characteristics and main symptoms of ketamine
      abusers attending emergency departments (EDs) in the metropolitan area of Bologna,
      Emilia-Romagna Region, northern Italy.
      Methods. We identified 74 records of ketamine-related visits: 30% female; 22% nonnatives;
      mean age 25.6 years. Forty-two percent reported ketamine use alone, 46% reported
      the use of other illegal substance (cocaine 19%, heroin 18%), 26% alcohol misuse.
      Results. The most common reported symptoms were neurological (soporous state 18%,
      agitation 14%, confusion 7%, panic attacks 7%, mydriasis 7%, tremors 7%), gastro-intestinal
      (abdominal pain 15%, vomiting 11%), urological (6.8%) and cardiac (palpitations
      5%, chest pain 5%). Complications secondary to falls and cuts (7%) were the most
      frequent trauma complications. We highlight a significant number of visits regarding
      suicide attempts (10%) and overdose (4%).
      Conclusions. The results highlight a particular population of problematic ketamine users
      identified using the hospital’s ICT system. In particular, poly-drug users who consume
      ketamine in combination with heroin or cocaine presenting to the ED represent
      a specific target for targeted prevention projects on non-lethal overdoses and suicide
      attempts.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Cancer incidence and congenital anomalies evaluation in the contaminated
           sites of Sesto San Giovanni – the SENTIERI Project

    • Authors: Rossella Murtas, Anita Andreano, Maria Teresa Greco, Sara Tunesi, Antonio Giampiero Russo
      Pages: 345 - 350
      Abstract: The Italian Institute for Environmental Protection and Research defines National Priority Contaminated Sites (NPCSs) as land where hazardous substances are likely to pose a risk to human health. SENTIERI was the first national project evaluating the health status of residents in NPCSs. We have extended, for the site of Sesto San Giovanni, the evaluation to cancer incidence and congenital anomalies (CAs). We have found an overall protective effect of living in the NPCS for overall cancer incidence in all ages and no association in paediatric, adolescent and young adults’ population. We have found an excess risk for bladder cancer, leukaemia, lymphoid leukaemia and chronic lymphocytic leukaemia in men and for lung and breast cancer in women. For the paediatric and adolescent population, we have found an excess in embryonic tumours. Total CAs were not different from expected, while we have found excesses regarding congenital ear, face and neck, digestive system and chromosomal defects.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Blood transfusions and adverse acute events: a retrospective study from
           214 transfusion-dependent pediatric patients comparing transfused blood
           components by apheresis or by whole blood

    • Authors: Linda Sommese, Maria Rosaria De Pascale, Angela Belsito, Simona Signoriello, Antonio Sorriento, Maria Vasco, Concetta Schiano, Carmela Fiorito, Giueppe Durevole, Marina Casale, Silverio Perrotta, Fiorina Casale, Roberto Alfano, Giuditta Benincasa, Giovanni Francesco Nicoletti, Claudio Napoli
      Pages: 351 - 356
      Abstract: Blood transfusion is a lifesaving procedure for patients affected by hematological diseases or hemorrhage risk. This retrospective study was aimed to evaluate clinical safety of pediatric transfusions by comparing the frequency of adverse events caused by apheretic blood components vs whole blood. From 2011 to 2015, 214 patients (blood malignancy patients, n=144 and thalassemic patients, n=70) received 12,531 units of blood components. The adverse acute reactions occurred during patient hospitalization were reported to the Hemovigilance system and assessed by fitting a logistic mixed-effect model. A total of 33 (0.3%) patients showed adverse acute events. Odds ratio (OR) of adverse events from apheresis vs whole blood transfusion adjusted by patient classification was not statistically significant (OR [95% CI], 0.75 [0.23–2.47]). Our findings showed no significant differences in the prevalence of adverse acute events between blood component collected by apheresis vs whole blood in our study center.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • A web-based tumor registration system for a regional Canine Cancer
           Registry in Umbria, central Italy

    • Authors: Elisabetta Manuali, Raffaello Antonio Morgante, Carmen Maresca, Leonardo Leonardi, Ivana Purificato, Maria Donata Giaimo, Gianni Giovannini
      Pages: 357 - 362
      Abstract: The Umbria Canine Cancer Registry (CCR) is a web-based platform for cancer registration
      set up in order to estimate the incidence of spontaneous tumors. It is an integral
      part of the regional canine demographic registry in which veterinary practitioners and
      pathologists interact. Veterinary pathologists perform double-blind comparisons and
      classify neoplasms in an automated classification process using the WHO criteria for
      canine neoplasms and the ICD-O tumor topographical and morphological keys. Here
      we describe the organization, on-line procedures and the methods used to assess canine
      demography, a pre-requisite for accurately estimating the incidence of cancer.
      In its first 4 years the CCR recruited 4857 cases of suspected tumors, as diagnosed by
      practitioners, clinics and a veterinary hospital. After the first year the number of enrolled
      cases increased by 63%, suggesting growing interest from the regional veterinary
      community.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • The way to move beyond the numbers: the lesson learnt from the Italian
           Obstetric Surveillance System

    • Authors: Serena Donati, Alice Maraschini, Stefania Dell'Oro, Ilaria Lega, Paola D'Aloja, Regional Maternal Mortality Working Grou
      Pages: 363 - 370
      Abstract: Objective.To describe the Italian Obstetric Surveillance System (ItOSS) investigating maternal death through incident case reporting and confidential enquiries.Methods. All maternal deaths occurred in any public and private health facility in 8 Italian regions covering 73% of national births have been notified to the ItOSS. Every incident case is confidentially reviewed to assess quality of care and establish the cause and avoidability of the death.Findings. A total of 106 maternal deaths among 1.455.545 new-borns have been notified to the surveillance system in 2013-17. Haemorrhage, sepsis and hypertensive disorders of pregnancy are the leading causes of direct maternal deaths due to obstetric causes.Conclusions. A maternal mortality surveillance system, including incidence reporting and confidential enquiries along with a retrospective analysis of administrative data sources, emerged as the best option for case ascertainment and for promoting avoidable maternal deaths.  
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Understanding mechanisms of cancer initiation and development supports the
           need for an implementation of primary and secondary cancer prevention

    • Authors: Elvira Pelosi, Germana Castelli, Ugo Testa
      Pages: 371 - 379
      Abstract: The burden of cancer is increasing worldwide, with a continuous increase of the annual total cases. Although mortality rates due to cancer are declining in developed countries, the total number of cancer deaths continues to rise due to the increase in the number of aged people. Three main causes of cancer have been described, represented by environmental factors, hereditary factors and random factors related to defects originated during cell replication. The frequency of cancers is very different for the various tissues and there is great debate on the extent of the specific contribution of environmental factors and random factors (due to “bad luck”) to cancer development. However, there is consensus that about 50% of all cases of cancer are related to environment and are preventable. Although a part of cancers is related to intrinsic mechanisms non preventable of genetic instability, it is evident that implementation of primary and secondary prevention measures is the only affordable strategy to meet from a medical and economic point of view the tremendous pressure created on healthcare structures by the increased cancer burden. It is time to bypass the paradox of disease prevention: celebrated in principle, resisted in practice.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Use of Probiotics in Medical Devices Applied to Some Common Pathologies.

    • Authors: Maria Verrucci, Angelo Iacobino, Lanfranco Fattorini, Roberta Marcoaldi, Antonino Maggio, Giovanni Piccaro
      Pages: 380 - 385
      Abstract: Probiotics, defined as “living microorganisms that, whether ingested in useful amount, may have beneficial effects on human body”, are widely used in various products for human use, such as dietary supplements, medical devices and pharmaceutical products. The European Directive on medical devices (MDs) (DDM 93/42), also includes those MDs containing live microorganisms, particularly probiotics, that may have various destinations of use, including that of assisting the therapy of several human pathologies. In this brief note we analyzed the use of probiotics in MDs and how probiotics administration could represent one of the new frontiers of scientific research on the prevention and treatment of various diseases. We’ll analyze the literature on probiotics based MDs, to review their major targets in the therapy of some of the most common human pathologies: bacterial vaginosis and vaginitis, atopic dermatitis, infant colic, obesity, type 2 diabetes, and pharyngotonsillitis.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Measles and rubella in Italy, e-learning course for health care workers

    • Authors: Melissa Baggieri, Donatella Barbina, Antonella Marchi, Pietro Carbone, Paola Bucci, Debora Guerrera, Loredana Nicoletti, Alfonso Mazzaccara, Fabio Magurano
      Pages: 386 - 391
      Abstract: Introduction. Since 2003, strategic plans for the elimination of measles and congenital
      rubella have been adopted in the World Health Organization European Region. In Italy,
      a network of reference laboratories for measles and rubella (MoRoNet) has been recently
      implemented to ensure high-quality laboratory investigation for the confirmation of
      cases and outbreaks. Training among health care workers (HCWs) is one of the tasks of
      MoRoNet and an e-learning course was produced to improve the knowledge on international
      and national elimination plans and laboratory surveillance for measles and rubella.
      Methods. The course, based on the problem based learning methodology, was offered
      free of charge. Data about all participants and those who completed the course have
      been collected and analysed.
      Results. 5822 participants enrolled and 3995 (69%) completed the course; comparison
      between pre- and post-test shows a significant improvement in knowledge. The average
      score obtained from the satisfaction questionnaire is 4.5 out of 5.
      Discussion and conclusions. Course’s results are satisfactory, and data show a significant
      improvement in knowledge among participants. Most of them were satisfied with
      content, learning methodology and platform. Moreover, this course represents one of
      the possible strategies to overcome resistance and mistrust about vaccinations among
      HCWs.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Resilience Actions  to counteract the effects of Climate Change  and 
           health emergencies  in cities: the role of artificial neural
           networks.   Resilience Actions  to counteract the effects of Climate
           Change  and  health emergencies  in cities: the role of artificial
           neural networks.  

    • Authors: Maria Cristina Mammarella, Giovanni Grandoni
      Pages: 392 - 397
      Abstract: Both the World Health Organization (WHO) with its 2015 "Climate and Health Country Profile Project" and the Istituto Superiore di Sanità (ISS) with its 2018 "Health and Climate Change", agree on the emergency generated by the climate change and concerning health problems. The mitigation strategy suggested by the Intergovernmental Panel On Climate Change (IPCC) against greenhouse gas emissions and their effects on climate change, has not yet yielded the desired results. It is therefore necessary to focus on adaptation strategies, to immediately counter the effects of Climate Change (CC) on most vulnerable people and environments, by increasing their resilience through local interventions and targeted resilience actions. Coordinated resilience actions are necessary to combat the effects of CC especially in urban areas. Useful tools to manage and optimize resilience actions are Artificial Neural Networks (ANN) in complex and dynamic domains as cities are. The case of ANN applied to a city is presented as an example to increase the climate resilience of health local systems. In the current state of knowledge, ANN prove to be the most advanced and global solution to coordinate and manage a set of resilience actions in urban areas.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • The 3R principle: 60 years taken well. Preface

    • Authors: Isabella De Angelis, Laura Ricceri, Augusto Vitale
      Pages: 398 - 399
      Abstract: Abstract
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • The usefulness of integrated strategy approaches in replacing animal
           experimentation

    • Authors: Chantra Eskes
      Pages: 400 - 404
      Abstract: It is currently well accepted that in general, more than one method is necessary to allow
      the full replacement of an animal experimentation. These so called partial replacement
      methods can be used within integrated strategy approaches that combine different
      methods and information sources. A number of integrated strategy approaches were
      implemented within recent years in different areas of safety and regulatory toxicology.
      Moreover, latest advances in biomedical research and bioengineering provide a major
      opportunity to make use of in vitro human-based and/or three-dimensional complex
      models that can contribute to achieve more physiologically-relevant models. Examples
      herein describe currently existing integrated strategy frameworks aiming at full or partial
      replacement purposes and/or at gaining mechanistic insights. Furthermore, a general
      concept is provided on how 3R methods might be integrated in a strategy approach in
      order to ensure that animal experimentation is conducted only as a last resort.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Considering the microbiota to achieve reduction in the numbers of animals
           used in scientific studies

    • Authors: Axel Kornerup Hansen
      Pages: 405 - 408
      Abstract: Elimination of pathogens by laboratory rodent commercial vendors has substantially improved
      standardized conditions as well as laboratory animal welfare. However, pathogens
      are also important for basic activation and functioning of the immune system with
      consequential influences on the symbiotic bacteria composition in the individual microbiota.
      One of the reasons for failures of translating results from preclinical research
      to the clinical phase in some studies could be due to unintentional selection processes.
      Some recommendations are provided to increase researchers’ awareness on this point,
      together with a practical checklist to optimize information from microbiota knowledge.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Refinement techniques in non-human primate neuroscientific research

    • Authors: Luca Bonini
      Pages: 409 - 412
      Abstract: Non-human primates (NHP) are widely considered an essential model for biomedical
      research because of their close genetic, anatomo-functional and cognitive similarities to
      humans. These same reasons also raise particular ethical concerns for the unavoidable
      harm caused to these animals, in particular to those involved in neuroscientific studies.
      Besides reducing the number of animals needed to the absolute minimum, it is therefore
      essential to implement procedures allowing, at the same time, to minimize the harm to
      the animals and maximize the quality and ecological validity of the data. Technological
      progresses have made possible, for example, to self-train monkeys in their home cage
      with positive reinforcement techniques and to adopt various types of telemetric systems
      for wirelessly recording neuronal activity in freely behaving animals. Example of full application
      of these techniques are still very limited in the literature, but different recent
      international projects and pioneering studies are paving the way for turning to the use
      of new technologies to get a more “ethically acceptable” NHP neuroscientific research.
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Book Reviews, Notes and Comments

    • Authors: Federica Napolitani
      Pages: 413 - 416
      Abstract: Abstract
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
  • Publications from International Organizations on Public Health

    • Authors: Anna Maria Rossi
      Pages: 417 - 419
      Abstract: Abstract
      PubDate: 2019-12-18
      Issue No: Vol. 55, No. 4 (2019)
       
 
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